Scoring balloon with translating scoring wires

Abstract

A device for introduction into a body vessel includes a shaft, a balloon positioned at the distal end of the shaft, a guidewire disposed longitudinally within the shaft to receive a guidewire during use, a balloon disposed at the distal end of the shaft, and longitudinal scoring wires to score a vascular lesion attached to the distal end of the shaft, disposed over the balloon and disposed within the shaft. The proximal ends are welded or otherwise affixed to a spring mounted in the handle. The balloon expands when fluid is delivered to the balloon through the inflation lumen. This expansion pushes the scoring wires against the vascular lesion.

The invention claimed is: 
     
         1 . A scoring balloon catheter comprising: a shaft including a scoring wire lumen; an inflatable balloon mounted at a distal region of the shaft; a handle mounted at a proximal region of the shaft; a hub including a spring, said hub mounted at a distal end of the handle with said spring coaxial with the shaft; at least one scoring wire having: a fixed distal end mounted on the shaft between a distal end of the shaft and the inflatable balloon; a first intermediate portion longitudinally tracing the outside of the balloon; a second intermediate portion passing through the scoring wire lumen proximal to the balloon; and a proximal end welded to the spring; wherein the at least one scoring wire exits the scoring wire lumen at a proximal portion of the shaft and flares outward at the proximal end of the at least one scoring wire to connect with the spring. 
     
     
         2 . The catheter of  claim 1 , wherein the proximal end of the at least one scoring wire is welded to a distal portion of the spring such that the spring exerts a proximal force on the scoring wire. 
     
     
         3 . The catheter of  claim 1 , wherein the hub at least partially surrounds the shaft. 
     
     
         4 . The catheter of  claim 1 , wherein the hub at least partially surrounds the spring. 
     
     
         5 . The catheter of  claim 1 , wherein the spring is biased against the hub. 
     
     
         6 . The catheter of  claim 1 , wherein the hub connects to the handle and forms a monolithic structure. 
     
     
         7 . The catheter of  claim 1 , wherein the spring at least partially surrounds the shaft. 
     
     
         8 . The catheter of  claim 1 , further including an inflation lumen at least partially inside the shaft, the inflation lumen including a distal end inside the balloon. 
     
     
         9 . The catheter of  claim 8 , wherein the handle includes a balloon inflation port connected to a proximal end of the inflation lumen. 
     
     
         10 . The catheter of  claim 1 , further including a guidewire lumen at least partially inside the shaft. 
     
     
         11 . The catheter of  claim 10 , wherein the handle includes a guidewire port connecting to a proximal end of the guidewire lumen. 
     
     
         12 . A scoring balloon catheter comprising:
 a shaft including a scoring wire lumen;   an inflatable balloon mounted at a distal region of the shaft;   a hub mounted at a proximal region of the shaft;   a spring mounted to the hub with said spring coaxial with the shaft;   at least one scoring wire having:
 a fixed distal end mounted on the shaft between a distal end of the shaft and the inflatable balloon; 
 a first intermediate portion longitudinally tracing the outside of the balloon; 
 a second intermediate portion passing through the scoring wire lumen proximal to the inflatable balloon; and 
 a proximal end welded to the spring; 
   wherein the at least one scoring wire exits the scoring wire lumen at a proximal portion of the shaft and flares outward at the proximal end of the at least one scoring wire to connect with the spring.   
     
     
         13 . The catheter of  claim 12 , wherein the spring is mounted at least partially within a recess in the hub.